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Ann Thorac Surg 1996;61:645
© 1996 The Society of Thoracic Surgeons
Division of Cardiothoracic Surgery Case Western Reserve University School of Medicine, B-27 10900 Euclid Ave Cleveland, OH 44106-4929
| The first 20% of the full text of this article appears below. |
See also page 640.
Kinoshita and colleagues present a case for atrophy of residual intact myocardium due to long-term unloading with a left ventricular assist device (LVAD). This group has accomplished some difficult studies in the past using coronary artery ligation to induce profound heart failure [1]. Unfortunately, their clinical correlation is limited in the present study because they studied normal hearts. Kinoshita and colleagues recognize this limitation, pointing out that ``myocardial atrophy in the intact ventricle after long-standing unloading ... may not directly indicate that atrophy also occurs in remaining viable myocardium in a clinical setting ...''.
This study underscores the disparate findings of experimental and clinical studies concerning myocardial atrophy after long-term unloading of the left ventricle. It is intuitive that chronic unloading could cause myocardial atrophy just as increased afterload causes myocardial hypertrophy. Intuition aside, observations
Related Article
Ann. Thorac. Surg. 1996 61: 640-645.
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